Individual provider · Type 1 NPI

Eric Bradley Fuller, MD

Pediatric Orthopaedic Surgery Physician · Chicago, IL

NPI number 1194036210 Active

Practice location

225 E Chicago Ave, Box 69
Chicago, IL 60611-2991

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X125-058032 (IL)
Pediatric Orthopaedic Surgery Physician 207XP3100X137416 (CA)
Pediatric Orthopaedic Surgery Physician Primary 207XP3100X036.132558 (IL)

Pediatric Orthopaedic Surgery Physician: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

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About NPI 1194036210

Eric Bradley Fuller, MD's National Provider Identifier is 1194036210, issued on Jun 23, 2010. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in Chicago, IL. The record was last updated on Sep 6, 2016.